Health plans typically rely on an insurer’s health provider network, or a network provided by a national company. Often, these are fine solutions. However, custom health plan provider networks can work beautifully to solve some difficult problems. For example:
Custom health plan provider networks
- Many student health centers have a difficult time referring students to the community providers that they most want to use. These community providers simply don't participate with insurers. At first glance, this situation seems hopeless, but a custom network can work wonders.
- Does your plan have a large number of members in only a few geographic regions? Many health care providers are eager to directly contract with health plans and employers. Ironically, regular health plan contracts can actually hinder innovative relationships!
- Are your members in a smaller market in your state? Often, small markets don't get the attention they deserve from state-wide or regional health plans. This may create an opportunity for real collaboration between community providers and your plan.
create a more sensible relationship between the health plan and the provider community. Give us a call
, we’ll explain how.